A jobbszívfél thromboemboliás betegségeinek diagnózisa és kezelése.

Translated title of the contribution: Diagnosis and treatment of thromboembolic diseases of the right heart

M. Lengyel, E. Dekov, A. Mádai, V. Biró, P. Farkas

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Right heart thrombosis (RHT) was found by 2D-echocardiography in 8 cases. Clinical suspicion of RHT could be documented in only 3 patients, while in the other 5 cases syncope, low output syndrome, essential pulmonary hypertension, cerebral embolism or congestive heart failure was the clinical diagnosis on first presentation. Out of the 4 cases of mobile RHT of extracardiac origin 1 patient had an emergency operation, 2 patients died shortly after the 2D-echo diagnosis before treatment could have been started and 1 patient improved on anticoagulant treatment. RHT of intracardiac origin was due to a central line or a ventriculoatrial shunt in 3 cases and no source could be found in 1 patient. Complete recovery was achieved in 2 cases by medical, in one case by surgical management and in 1 patient medical and surgical treatment resulted in clinical improvement. In conclusion authors 1. consider 2D echocardiography necessary in the clinical setting of acute or chronic pulmonary embolism or "primary" pulmonary hypertension and 2. they recommend emergency operation in case of mobile large RHT detected by 2D-echocardiography.

Translated title of the contributionDiagnosis and treatment of thromboembolic diseases of the right heart
Original languageHungarian
Pages (from-to)2019-2025
Number of pages7
JournalOrvosi hetilap
Volume131
Issue number37
Publication statusPublished - Sep 16 1990

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Lengyel, M., Dekov, E., Mádai, A., Biró, V., & Farkas, P. (1990). A jobbszívfél thromboemboliás betegségeinek diagnózisa és kezelése. Orvosi hetilap, 131(37), 2019-2025.